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This Week’s Question #457 - Diabetes In Control.com Newsletter
A 61-year-old man has had type 2 diabetes for 16 years. He has taken insulin for 6 years and has had unstable glucose patterns. His fixed-dosage treatment program is to be intensified by undergoing algorithmic adjustments (correction doses) of the rapid-acting insulin dosages at breakfast and supper.
How should the patient be instructed to estimate the effect that meals will have on his blood glucose when using rapid-acting insulin at breakfast and supper?
A. Use the plate method to estimate the amount of particular food types.
B. Use the American Diabetes Association exchanges.
C. Use the 1800-calorie American Diabetes Association diet.
D. Use basic carbohydrate counting and a dietitian referral for further instruction.
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